Organization Active NPI

Visalia Adult Day Health Care Facility, Inc.

  • Adult Day Care Clinic/Center
  • Visalia, CA
National Provider Identifier
1710033857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
VISALIA ADULT DAY HEALTH CARE FACILITY, INC.
Practice address
202 NE 2ND Ave
Visalia, CA 93291-3727
Phone
(559) 313-2825
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Semerdzhyan
Title
President
Phone
(559) 313-2825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

202 NE 2ND Ave
Visalia, CA 93291-3727

Mailing address

202 NE 2ND Ave
Visalia, CA 93291-3727

Other identifiers 1

IdentifierTypeStateIssuer
ADU70422FMedicaidCA

National Provider Directory

National Provider Directory

Locations

202 NE 2nd Ave
Visalia, CA 93291
Phone (559) 313-2825

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710033857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NE 2ND AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NE 2ND AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913727",
            "telephone_number": "559-313-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISALIA ADULT DAY HEALTH CARE FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEMERDZHYAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-313-2825"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70422F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.